1. Colorado Legislative Roundtable
Eric Speer, MBAHA, FACMPE
Jennifer Souders, FAMCPE

2. 2019 Colorado Legislative Roundtable
We’re at the Table!

3. 2019 Colorado Legislative Roundtable
Bills that Became Law HB
Hospital Transparency Measures to Analyze Efficacy
Governor Signed HB
Proposal For Affordable Health Coverage Option HB
Substance Use Disorders Recovery HB
Medical Marijuana Condition Autism HB
Comprehensive Human Sexuality Education HB
Local Government May Regulate Nicotine Products HB
Sign Language Interpreters Title Certification HB
Pharmacist Dispense Without Prescription in Emergency Situations HB
Athletic Trainer Licensure HB
Prescription Drug Cost Education HB
Primary Residence Exempt for Medical Debt
Postponed indefinitely

4. 2019 Colorado Legislative Roundtable
Bills that Became Law HB
Reinsurance Amendment
Governor Signed HB
Out of Network Health Care Services
Signed by President of Senate HB
Physical Therapists Youth Athletes Head Trauma HB
Prior Authorization Requirements Health Care Services HB
Reduce Insulin Prices HB
Investments in Primary Care to Reduce Healthcare Costs HB
Licensing Behavioral Health Entities HB
University of Colorado Training and Scholarship Rural Physicians
Failed HB
Board of Pharmacy Regulate Pharm Techs HB
Mental health Parity Insurance Medicaid HB
Treatment for Opioids and Substance Use Disorders

5. 2019 Colorado Legislative Roundtable
Bills that Became Law HB
Health Insurance for Breast Imaging
Governor Signed HB
School Immunization Requirements
Laid over
SB19-001
Expand Medication-assisted Treatment Pilot Program
SB19-004
Address high-Cost Health Insurance Pilot Program
SB19-005
Import Prescription Drugs From Canada
SB19-008
Substance use Disorder Treatment in Criminal Justice System
SB19-013
Medical Marijuana Condition Opiates Prescribed For
SB19-073
Statewide System of Advanced Medical Directives
SB19-079
Electronic Prescribing Controlled Substances
SB19-110
Licensing Regulation Ambulatory Surgical Centers
Postpone Indefinitely

6. 2019 Colorado Legislative Roundtable
Bills that Became Law
SB19-133
Require License to Practice Genetic Counseling
Governor Vetoed
SB19-134
Out of Network Health Care Disclosures and Charges
Postpone Indefinitely
SB19-153
Sunset Podiatry Board
Governor Signed
SB19-193
Sunset Continue Colorado Medical Practice Act
SB19-217
Healthcare Provider Liens
First Conference Committee
SB19-218
Sunset Medical Marijuana Program
SB19-219
Sunset Continue Licensing of Controlled Substances
SB19-227
Harm Reduction Substance Use Disorders
SB19-228
Substance Use Disorders Preventive Measures
SB19-234
Sunset Professional Review Committees

7. 2019 Colorado Legislative Roundtable
Federal Legislation
Eliminate copays for Chronic Care Management (CCM) Services - This Chronic Care Management Improvement Act (HR 3436) would remove the requirement to collect patient copays for CCM services, having Medicate pay 100% of the service
Surprise Bills and Fair Physician Payments - this is a grassroots effort to urge Congress to hold insurers accountable for surprise medical bills.

8. 2019 Colorado Legislative Roundtable
Federal Legislation
Safe Step Act of Puts common sense parameters and reasonable timelines around the practice of step therapy.
Medicare Care Coordination Improvement Act of seeks to modernize Stark Law (self-referral) prohibitions to promote care coordination and facilitate participation in APMs.

9. 2019 Colorado Legislative Roundtable
Federal Legislation
Resident Physician Shortage Reduction Act of 2019 – supports expanding the physician workforce
Improving Seniors Timely Access to Care Act of 2019 – This bill aims to increase transparency and streamline the prior authorization process for MA plans by:
Requiring MA plans to support electronic PA
Requiring MA plans to make real-time PA decisions
Exempting pre-op services from PA
Requiring MA plans to publicly reveal what services require PA, how many are approve and how long they take to approve

10. 2019 Colorado Legislative Roundtable
Federal Legislation
MGMA makes it incredibly easy to contact your congressional leaders:
"Contact Congress" Portal
Patients Over Paperwork
Proposed Rule for 2019
Public Comment Period Ended 8/12/19
Sign Up for Updates
Get the latest Patients over Paperwork newsletters

11. 2019 Colorado Legislative Roundtable
CMGMA/CMS Advocacy Collaboration
Goal: To provide effective data-driven advocacy on behalf of physicians and their practices
Purpose: To establish a mechanism for CMGMA to inform the AMS advocacy team of issues directly impacting physicians’ practices
Who: CMGMA Legislative Liaison will represent CMGMA on the CMS Council on Legislation and will be the conduit for getting information to and from CMS relative to advocacy/legislative issues
Process: CMGMA will create a subcommittee of specialty practice leaders representing a multitude of specialties and practice settings with the purpose of gaining a cross-section of perspectives on legislative or administrative issues.

12. 2019 Colorado Legislative Update
Questions?
Eric Speer
Jen Souders